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Claim Forms

Print the plan's pdf claim form and submit it to the appropriate department.

Travel Insurance Select®
- To file a claim, please call the claims department. Find out more.
Study USA-HealthCare™
Voyager Annual Plan
InterMedical™ Insurance
Visit USA-HealthCare™
- Claim Form for enrollments prior to February 1, 2011 (Policy #9028419)
- Claim Form for enrollments on or after February 1, 2011 (Policy #9498700)
WorldMed™ Insurance

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If you have questions, please call 800-937-1387 (or 925-932-1387 in the San Francisco Bay Area) from 8:30 am to 5:00 pm Pacific Time, Monday through Friday.

Other Plans

If you are enrolled in another plan, please refer to your Confirmation/Certificate of Insurance or your Summary of Coverages.

Questions? Call 800-937-1387